| NPI | 1962664789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036151260) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C159601) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 1722) | |
| 207Q00000X Family Medicine (Licence: OH 35.097988) | |
| 207Q00000X Family Medicine (Licence: NC 2013-01176) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101264187) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2013-01176) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2024-02-19 |